Application aid for mobilisation of the anastomosis sides

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Use of the BARS® Anchor

Mobilisation aid for bringing together the two opposing anastomosis sides in the BARS® application cap.
The BARS® Anchors are supplied in black and silver so they can be easily differentiated.

Dimensions and specifications

Colour Black and silver
Working length 1650 mm
Max. outer diameter 2.4 mm
Needle width 9 mm
Stitch depth 2-2.5 mm
Reference number BARS® Set: 100.60 (incl. BARS® Anchors)

Application of the BARS® Anchor

EMR2

Mucosal incision2

Preparing the target tissue

Preparing the target tissue using EMR or mucosal
incision offers significant benefits.

  • Enables a more secure hold for the Anchors in the muscular
    (submucosal) layer of tissue.
  • A fresh lesion is created which can promote healing and
    thus support the long-term results.

Positioning

Correct positioning of the BARS® Anchors is crucial to the success of the treatment.

  1. Divide the anastomosis into two halves with an imaginary centre line.
    X = exit point of the endoscope working channel
  2. Position the Anchors just below the centre line.
    • = BARS® Anchor Black, • = BARS® Anchor Silver.
  3. The calibration balloon (•) defines the remaining lumen
    in the opposite semi-circle.

2Source: Prof. A. Schmidt, Universitätsklinikum Freiburg, Germany

Target the application site.

Insert the guide wire into the outer BARS® working channel and place it in the anastomosis.

Insert the anchors into the endoscope working channel and the inner
BARS® working channel.

Crossed placement of the anchors in the prepared target tissue.

Place the calibration balloon in the anastomosis. Gradually pull the tissue into the BARS® application cap using alternating pulling motions.

Make sure that the tissue is positioned symmetrically in the cap. Position the BARS® clip by turning the hand wheel.

Withdraw the instruments and inspect the clip application site.

Example 1*

Target the application site.

Insert the guide wire into the outer BARS® working channel and place it in the anastomosis.

Insert the anchors into the endoscope working channel and the inner
BARS® working channel.

Crossed placement of the anchors in the prepared target tissue.

Place the calibration balloon in the anastomosis. Gradually pull the tissue into the BARS® application cap using alternating pulling motions.

Make sure that the tissue is positioned symmetrically in the cap. Position the BARS® clip by turning the hand wheel.

Withdraw the instruments and inspect the clip application site.

1Source: Dr. med. M. Kandler, Städtisches Klinikum Dresden, Germany

Medien

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Overview of the BARS® System product family



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